2018 OPPS Final Rule Analysis

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	Presenter	Arthur Lamon Willis, COC, CPC, CPCO, CPC-I
	Broadcast Date	1/17/2018
	Time	10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
	Presentation Length	60 minutes
	Price	$65 (Non-members $85)
2 CEUs A Coding Billing Auditing Compliance Management

January 17, 2018 11:00am MT

Attendees will be provided a thorough review and key takeaways of the most impactful and pertinent updates to the OPPS. This will include information related to new wage index criteria, payment and costing methodologies, requirements for the hospital outpatient quality reporting (OQR) program, items removed from the inpatient-only list, provider off campus site payments, updates to comprehensive and composite APCs, pharmaceutical pass-through updates, and many others.

Why is this topic important?
These regulations and payment information impacts hospitals across the US over the next year, including new, deleted, revised codes, usage of modifiers, coding and billing guidance, as well as reimbursement information to set budgets for departments within an organization.

Who would benefit from this topic?
Hospital – HIM staff, business office personnel, compliance personnel, chargemaster coordinators, department heads, revenue cycle management, data analysts, and CDI staff.

How would this benefit the individual and/or their company?
Provides highlights of detailed information from the 2018 OPPS Final Rule which is needed for organization management, department management, and individual response to job performance within specific departments.

What information/new skills will the attendee take away from this webinar?
Attendees will receive updated information related to changes in the hospital wage index, drug pricing programs, code set changes under OPPS, reasoning behind CMS program nuances, and action items for rolling out updates within their organization.

Why is the presenter the expert on this topic?
I have over 20 years of experience within the hospital and physician healthcare marketplace. I’ve been the Vice President of Patient Financial Services at a hospital, the Coding Director and Compliance Liaison for a nationwide physician practice management organization, consulted for Optum, 3M HIS, and Craneware, Inc., and traveled to hospitals and physician practices in almost every state performing chargemaster reviews, hospital and physician coding audits, practice management reviews, compliance program implementation, fraud and abuse audit services, and software implementation and support. I continue to work in this field, currently managing 40 outpatient and inpatient hospital coding staff within middle Georgia.

Attendees will learn:

1. Learn about the overall Rate Increase for hospitals
2. Become informed on details of the 340B drug program
3. Understand reasoning behind updates to the Inpatient-Only list
4. Gain familiarity with C-APCs
5. Obtain information on changes to payment for certain Cancer Hospitals

Agenda

• Cost to Charge Ratios
• Beneficiary Copayments
• Recalibration of APC Relative Payment Weights
• Hospital Outlier Payments
• Partial Hospitalization Payment (PHP)
• Conversion Factor (CF) Update/Impact
• Packaged Skin Substitutes
• Supervision of Hospital Outpatient Therapeutic Services
• 340B Drug Pricing
• Cancer Hospital Payment Adjustment
• Changes to Inpatient-Only List
• Comprehensive APCs (C-APCs)
• New Technology APCs
• Care Management Code Changes
• Expiration of Transitional Pass-Through Payment for Certain Devices
• Hospital Outpatient Quality Reporting (OQR) Program
• Radiology Changes
• Non-excepted Hospital Off-campus Provider-based Departments

About The Author

Arthur Lamon Willis, COC, CPC, CPCO, CPC-I

Lamon Willis is the Director of Coding for Velocity Healthcare Collaborative in Macon, Georgia.  There he oversees hospital inpatient and outpatient coding operations

Mr. Willis is a healthcare professional with more than 20 years of experience in hospital and physician revenue cycle, practice management, compliance, coding, billing, process improvement, client services, sales support, and strategic product and solution development. He is also the former Director of Business Development for AAPC and Healthicity.  

He has worked as a VP of Patient Financial Services in a hand and foot surgery hospital in Florida as well as a manager and compliance liaison with an emergency physician practice management organization.

Mr. Willis previously provided healthcare consulting and solution services to hospitals and physician organizations through such companies as St. Anthony Consulting, Ingenix, OptumInsight, 3M Health Information Systems, and Craneware, Inc.  
Lamon is a speaker at national and regional conferences for a wide variety Enterprise Solutions of healthcare industry topics for the AAPC, AHIMA, HFMA, and SAAS-based companies.  

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